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BioMed Central Blog

Thursday May 07, 2009

Global research initiative points way to cut stillbirths

A first-ever global review examining measures to prevent over 3.2 million stillbirths worldwide was published in a BMC Pregnancy and Childbirth supplement today.

 

Stillbirths are still underreported and largely absent from data records and national policy-making. The supplement, entitled Stillbirths – the global picture and evidence-based solutions, provides an in-depth analysis of the burden and evidence base for potential interventions to avert stillbirths, especially in low-income countries.

 

The supplement, funded by Save the Children through a grant from the Bill & Melinda Gates Foundation, consists of six articles and a commentary.

 

Paper 1 addresses the global burden, the epidemiology, risk factors and the causes of stillbirths and lays down the methodology and framework for this worldwide review. Papers 2 and 3 cover the behavioural and medical interventions used before and during pregnancy, which include interventions targeted at medical conditions and infections in the mother. Paper 4 focuses on screening and monitoring interventions during pregnancy and labour, including ultrasound and Doppler studies, managing maternal diabetes, and partographs and cardiotocography, among others. Paper 5 deals with the evidence of interventions during labour, while Paper 6 examines health system solutions, including training health workers in facilities and also at community level to improve care during pregnancy and childbirth.

 

This collaborative research initiative was led by Professor Zulfiqar A. Bhutta, Head, Division of Maternal and Child Health (Aga Khan University), with Drs. Gary L. Darmstadt and Rachel Haws from Johns Hopkins University and Dr. Joy E. Lawn of Save the Children’s Saving Newborn Lives division.

 

Commenting on the supplement, BioMed Central’s Editorial Director (Medicine), Dr Melissa Norton said, “BMC Pregnancy and Childbirth is proud to publish these in-depth reviews as an important first step in tackling the problem of stillbirths, especially in relation to low-income countries. The articles address the scale of the issue and discuss possible solutions to be taken forward.  We look forward to the impact they will have on public health worldwide.”


 

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